Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Edward Stacy

Individual provider Licensed Vocational Nurse · NPI 1912663436

Charles Edward Stacy is a Licensed Vocational Nurse in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

1130 E Menlo Ave
Fresno, CA 93710-4016
Phone: (562) 833-1632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 282056 (CA)

Record details

NPI number1912663436
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 9, 2021
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021

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